Illinois Mentor

LBN: Illinois Mentor
Illinois Mentor is an health care organization with primary practice located at 600 Holiday Plaza Dr Suite 400, Matteson IL 60443-2241. The organization recently has 3 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Foster Care Agency, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Agencies / Foster Care Agency is the primary health care specialty. Illinois Mentor can be contacted via phone (708) 679-9137, or through Ngwa, Viviane via phone (708) 679-9137.

Contact Information

Primary practice address
600 Holiday Plaza Dr Suite 400 Matteson IL 60443-2241
Phone: (708) 679-9137
Fax: (708) 503-6267
Website:
Map and Directions
Authorized official contact:
Name: Ngwa, Viviane MSW
Phone: (708) 679-9137

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X Illinois
Agencies / Foster Care Agency 253J00000X
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X Illinois

Profile Details

NPI number 1396954467
LBN Legal business name Illinois Mentor
DBA Doing business as
Authorized official Ngwa, Viviane MSW
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2007
Last updated Jul 21st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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